Latest work

Since October 2014, Tropical Health has been a partner on VectorWorks, a five-year global project, funded by the President’s Malaria Initiative, that aims to scale up vector control for malaria prevention through improved distribution of long-lasting insecticidal nets, optimal roll-out of promising alternative vector control tools, and global policies that are informed by the use of monitoring and evaluation data. The project develops and implements better ways to distribute long-lasting insecticidal nets, conducts research to inform evidence-based decision-making, and works to improve policy at global and country levels. The work goes beyond nets and also works on alternative vector control tools for scale-up.  VectorWorks has an extensive resource library for nets distribution partners, donor agencies, and National Malaria Control Programs and provides online toolkits, guidelines, sample documents and tools, and free online trainings to streamline implementation of nets distribution programs. VectorWorks launched its website (http://www.vector-works.org/) in time for World Malaria Day (http://www.worldmalariaday.org/) on Saturday 25th April 2015.  World Malaria Day is held annually and recognizes the global efforts in the control of Malaria. 

Current and Ongoing work

Ethiopia
Ghana
Malawi
Nigeria
Sierra Leone
Tanzania
Regional
(2014-2016)
 
Independent Evaluation of the project ‘Evidence for Action’
In partnership with Montrose International
For UK Department for International Development (DFID/UKAid)
The ‘Evidence for Action’ (E4A) is a five-year programme, which aims to improve maternal and newborn survival in six-Saharan countries. Funded by DFID/UKAid), it focuses on using better evidence for improved advocacy and accountability. Tropical Health technically leads the independent evaluation of the programme. This theory-based evaluation is structured around three components (quality of care, capacity building and regional alignment) and will provide overall evaluation conclusions. 
 
South Sudan
(2013-2016)
Health Pool Fund
Montrose International
For UK Department for International Health (DFID/UKAid) led and with support from AusAid, Canadian International Development Agency, European Union, and Swedish International Development Agency
The Health Pool Fund (HPF) is a three year project that aims to support delivery, through sub-contracted NGOs, of essential primary health care and referral health services (with a focus on maternal, newborn and child health) as well as health systems strengthening at all the levels of the health sector in six of South Sudan’s ten states. To date, Tropical Health has been providing short-term technical advice on the project M&E (e.g. M&E framework development, project logframe development, value for money assessment strategy development, implementing partners performance assessment).
 
Myanmar/
Burma
(2013-2015)
 
Independent Evaluation of the project ‘Artemisinin Monotherapy Replacement in the Private Sector to Support the Containment of Artemisinin Resistant Malaria in Burma’
In partnership with Montrose International
For UK Department for International Development (DFID/UKAid)
The aim of the evaluation is to design and implement an evaluation framework which will assess the effectiveness of project interventions (i.e., (i) the replacement of monotherapy (ii) the introduction of diagnosis and testing in the formal and informal private sector and (iii) behaviour change strategies), whether and to what level the outcome targets have been achieved and the overall contribution to impact; assess the value for money of the programme in delivering its outputs and outcomes; and identify, document and disseminate lessons learnt for wider interest where results have or have not been achieved. Tropical Health is the technical lead on this evaluation.
 
Equatorial Guinea
(2012-2015)
Maternal and Child Health Project
Through Montrose International
This is a five-year project that aims to improve the health of children under five years through the provision of primary health care services, rehabilitation of health facilities and water and sanitation activities. Tropical Health provides technical oversight of the health component, including M&E. It supported the development of a system of monitoring facility service readiness and providing a visualization of progress linked to incentives for staff and managers.
 
Uganda
(2014-2015)
Long-Lasting Insecticidal Net Durability study
In partnership with Malaria Consortium
For Bayer
Tropical Health is leading a study to evaluate the durability performance of the new polypropylene long-lasting insecticidal net (LLIN) LifeNet against six other LLIN brands of varying material and Denier.
 
Nigeria
(2014)
Meta-analysis of Behavioural Aspects of Post Long Lasting Insecticidal Nets Distribution Campaigns Survey Data Sets from Ten States in Nigeria
Society for Family Health
For Global Fund for the fight of AIDS, Tuberculosis and Malaria (GFATM)
This analysis aims at exploring the relationship between modalities of LLIN related behavioural change communication messages provided during mass LLIN distribution campaigns and their recall and subsequent attitudes and behaviours. It will also characterize households that mention difficulties in hanging of nets and specific reasons for not using them. The findings will inform recommendations on strategies to intensify utilization of nets.
 
Nigeria
(2012-2014)
Support to National Malaria Control Programme (SuNMaP)
Malaria Consortium
For UK Department for International Development (DFID/UKAid)
SuNMaP is a £89m seven-year DFID/UKAid funded programme that strengthens Nigeria’s commitment to “drive out malaria”. It comprehensively builds capacity at national and state level in the areas of systems strengthening, donors’ coordination, malaria prevention, diagnosis and treatment, demand creation, operational research and M&E. SuNMaP supports public and private providers in 10 of the 36 States of Nigeria. Tropical Health provides technical advice on the project M&E, impact surveys design, implementation and results interpretation. Examples of surveys include: nets retention and use surveys, nets retail market surveys, health facilities assessments, community evaluation system for changes in malaria epidemiology.
 
Global
Africa
South East Asia
(2012-2014)
Networks
Johns Hopkins Bloomberg School of Public Health - Center for Communication Programs and Malaria Consortium
For USAID / Presidential Malaria Initiative (PMI)
Networks is a $100m five-year USAID funded global project that partners with country missions and beneficiary countries to improve and establish sustainable access to and use of Long Lasting Insecticidal Nets (LLIN). NetWorks aims to build sustainable LLIN systems that bridge the key technical areas of advocacy, policy, distribution, monitoring, and communications in malaria endemic countries. The role of Tropical Health is to provide technical advice on the project M&E, impact surveys and operational researches design, implementation and results interpretation. Examples include: LLIN retention and use surveys, LLIN care and repair and durability surveys, design of a quantification tool (NetCALC) for LLIN needs assessment using different distribution channels, design of context responsive routine distribution channels.
 

 

Completed Work 

Global
(2014) 
Learning Material and Training Development and Delivery: ‘Harnessing Health Markets and the Management of Development Assistance for Aid Agency Staff’
World Bank
Tropical Health supported the development and delivery of a three-day course and a package of structured, re-usable learning materials on challenges and “better practices” for managing the preparation of development assistance projects or programmes supporting country-level efforts to analyze health market sand strategically engage private health sector policy. To date, two training sessions took place, in January and May 2014, respectively and more might follow.
 
Tanzania
(2014)
Developing the market in Long Lasting Insecticidal Net (LLIN) distribution in Tanzania
UK Department for International Development (DFID/UKAid) - Tanzania
A two phase assignment that provided technical specialist support to develop a medium to long-term comprehensive strategy for sustaining universal coverage with long lasting insecticidal nets (LLIN) in Tanzania with special emphasis on harnessing the potential of the commercial LLIN market.
 
Nigeria
(2014) 
Technical Support to Inform Operational Research On Long-Lasting Insecticidal Nets in Nigeria Global Fund for the fight of AIDS, Tuberculosis and Malaria (GFATM) 
Tropical Health provided support to the Nigeria National Malaria Elimination programme and a GFATM principal recipient to conduct a desk review of the available information on LLINs and their use in Nigeria. Based on this review, remaining knowledge gaps on LLIN distribution and use were identified to develop an immediate and longer-term operational research agenda in the subject. 

Nigeria
Kenya  
Uganda
Mozambique
Cambodia
India
(2012-2014)
 
Developing Criteria of Net Durability for Inclusion into Procurement Decisions
In partnership with Results For Development (R4D) and Non-woven Innovation & Research Institute (NIRI)
For Bill and Melinda Gates Foundation
The goal of the project was to develop a predictive algorithm that correlates results from various textile tests with the expected field performance of Long-Lasting Insecticidal Nets (LLIN) based on the in-depth textile analysis of the causes of net damage and the modes of deterioration. This will be used to inform WHO to develop Net Performance Guidance that can be applied by major donors and countries to optimize value for money in procurement and provide suppliers with evidence to inform and drive innovation. Tropical Health provided technical guidance in the design of the algorithm and led the net collections in the field.

Africa
(2013)
Review of USG-Supported Global Fund Technical Assistance for Malaria Funding Investments
USAID / Presidential Malaria Initiative (PMI)
Through Management Sciences for Health (MSH)
The primary purpose of the review was to assess the technical assistance provided from 2009-2012 by the Roll Back Malaria Sub-Regional Networks (SRNs) to identify the value added of the SRNs in resolving bottlenecks in Global Fund malaria grants in Africa.  The review was done using both quantitative and qualitative methods. The assessment provided in addition a description of existing and future technical assistance needs as well as recommendations for new approaches to investing future funding in technical assistance.
 
Global
(2013)
Long Lasting Insecticidal Nets survival estimation
World Health Organization
Tropical Health provided technical guidance for countries and partners on how to estimate the survival of Long Lasting Insecticidal Nets (LLIN) from field data on LLIN durability.
 
Global
(2013)
Review of organizational M&E systems
NetsforLife ®
Under the leadership of US-based Episcopal Relief and Development NetsforLife® is a partnership of mostly faith-based organizations that supports malaria prevention in sub-Sahara Africa using resource from a wide range of partners and organizations. Tropical Health reviewed NetsforLife M&E approaches and systems to see whether they are state-of-the art and advise on any improvement required.

Nigeria
(2012-2013)
Programmes management support
Malaria Consortium
Malaria Consortium is one of the world's leading non-profit organisations dedicated to the comprehensive control of malaria and other communicable diseases in Africa and Southeast Asia. A Tropical Health expert provided programmes performance management oversight to Malaria Consortium Nigeria country office, which has an annual turnover of US$16m through the implementation of six major projects funded by DFID/UKAid, USAID, Bill and Melinda Gates Foundation and UNITAID.

Uganda
South Sudan
Zambia
Mozambique
(2012-2013)

Integrated Community Case ManagementMalaria ConsortiumFor Canadian International Development AgencyThis $20m three-year CIDA funded multi-country project supported the Ministries of Health in the introduction and implementation of Integrated Community Case Management (ICCM) activities. The total population across the implementation areas is 4.2 million people. The project provided community-based care for malaria, pneumonia and diarrhoea (and malnutrition in South Sudan) and included rigorous results tracking activities to evaluate outcomes and impact on all-cause child mortality. Tropical Health’s expert provided technical advice on the project M&E, impact on child mortality survey design using a birth history methodology for the mortality analysis, implementation and results interpretation.


Côte d’Ivoire
Indonesia
Papua New Guinea
(2012)
Malaria control programme evaluation
A large private mining company
Through Montrose International
The project reviewed the malaria control programmes of a large mining company in Africa and Asia. Taking account of the specific aspects of malaria control in the remote and confined mining sites, this work focused on the design of semi-automated surveillance and monitoring systems that do not need specialised expertise to run them and yet provides the company with the core information needed for key management decisions across different sites.